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脊髓横断对静脉注射可乐定后内分泌及血压反应的影响。

Effect of spinal cord transection on the endocrine and blood pressure responses to intravenous clonidine.

作者信息

Ganong W F, Wise B L, Reid I A, Holland J, Kaplan S, Shackelford R, Boryczka A T

出版信息

Neuroendocrinology. 1978;25(2):105-10. doi: 10.1159/000122733.

Abstract

To determine whether the inhibitory effect of clonidine (CLON) on renin secretion is due in part to a direct action on the kidneys or due entirely to an action on the brain, the drug was administered intravenously in a dose of 30 microgram/kg to dogs in which the spinal cord had been transected in the cervical region. Renal perfusion pressure was held constant by adjusting a suprarenal aortic clamp. The decrease in plasma renin activity produced by CLON in dogs with intact spinal cords was abolished, and in 5 of 8 dogs tested, plasma renin activity rose. The decrease in blood pressure seen in control dogs was replaced by a prolonged pressor response. The ACTH response, as measured by plasma corticoids, and the growth hormone (GH) response were not significantly reduced. The data indicate that at least at this dose, the depressor response and the decrease in renin secretion produced by CLON are completely central in origin.

摘要

为了确定可乐定(CLON)对肾素分泌的抑制作用部分是由于对肾脏的直接作用还是完全由于对大脑的作用,将该药物以30微克/千克的剂量静脉注射给脊髓在颈部已横断的犬。通过调节肾上腺上主动脉夹使肾灌注压保持恒定。CLON在脊髓完整的犬中所产生的血浆肾素活性降低被消除,并且在8只受试犬中的5只中,血浆肾素活性升高。对照犬中出现的血压下降被延长的升压反应所取代。通过血浆皮质激素测量的促肾上腺皮质激素反应和生长激素(GH)反应未显著降低。数据表明,至少在这个剂量下,CLON产生的降压反应和肾素分泌减少完全源于中枢。

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